YM778.TV Chapter 2167: 【2167】Indications
Say this child is seriously ill, he should be sent to the emergency room instead of the office. There is no oxygen in the office.
A bunch of famous doctors are not arguing about giving patients rescue medicine or giving patients emergency intubation, cardiac compression and defibrillation, etc... It is whether enema is useful.
"It\'s useless to give him an enema with your surgery." Jiang Mingzhu said, "If he doesn\'t need surgery for appendicitis, he can try to use a colonoscope to examine the bowel and appendix. Colonoscopy is more accurate and intuitive than CT. It can be clearly identified whether there is **** residue in the intestine, and if there is any, take it out and rinse it again to reduce inflammation.”
(At that time, there was no ERAT endoscopic retrograde appendicitis treatment. The principle of ERAT surgery is similar to the method mentioned by Jiang Mingzhu above. The method of endoscopic examination of the appendix and **** irrigation to treat appendicitis is mainly aimed at bezoar stones. Residual appendicitis.)
Xie Youtian This situation is indeed suspected appendicitis caused by feces.
"You\'re too impatient. I just finished the enema, and I don\'t know what the effect will be. I\'ll talk about the situation later." Dr. Jiang from Puwaiyi waved at her suggestion.
"I\'m in no hurry. I think that if you decide not to perform surgery to remove the appendix for this child and want to try more other methods, you can make a plan for digestive endoscopy in advance." Jiang Mingzhu said. Physicians are careful and advocate the need to plan ahead.
Yu Xuexian\'s words to her: Well.
The surgery person did not agree with what the two of them digested, and refuted:
"You can do an endoscope examination. Other treatments are very general. The appendix is very special. It is very difficult for you to reach the appendix with an endoscope. This child will definitely not be able to cooperate, and anesthesia is required, otherwise it will not be possible."
"The endoscopy method you mentioned is not much different from conservative treatment. If the inflammation is small, the inflammation will naturally dissipate under conservative treatment. The child will be given blood and injections later. If the inflammation is large, just wash two How can it be possible to eradicate the inflammation in this place. Antibiotics should take a sufficient course of treatment. If it is serious, our surgery will do incision and drainage in the purulent place, and it is impossible to do it multiple times at one time. So the appendix is very easy. If it recurs, it can only be surgically removed in the end."
(The future ERAT surgery also has this defect and requires indications.)
It is not easy to keep the appendix.
Surgery\'s confidence in conservative treatment today is mainly based on the fact that the child\'s condition was detected relatively early.
After being yelled at by the surgery, Jiang Mingzhu took two breaths, thought about it again, and insisted on the opinion of her internal medicine.
The internal medicine department present was not only digestive, but Dr. Lin from the cardiology department said: "The child\'s heart rate is too fast and the breathing rate is fast. It is difficult to tell whether it is caused by pure fear. Because he has pain and fever, all these will be Raise his heart rate and breathing rate. If you want to feel at ease, let him stay in a hospital for observation, right?" After speaking, he looked at Jin Tianyu.
Jin Tianyu is not as simple as his colleagues thought. The issue of enema alone has caused such a quarrel. If this child is hospitalized, which department should be arranged to go to.
Say it again, do you have any opinions outside of your heart?
Fu Xinheng was silent.
Zhu Huicang held the glasses: "The attending doctor still doesn\'t speak?"
The opinions of each subject are all here, and it is the right way to let the chief take the final opinion.